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Inspection report

Date of Inspection: 13 December 2013
Date of Publication: 21 January 2014
Inspection Report published 21 January 2014 PDF | 91.15 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 13 December 2013, talked with people who use the service and talked with staff. We reviewed information given to us by the provider.

Our judgement

Care and treatment was planned and delivered in a way that ensured people's safety and welfare.

Reasons for our judgement

We saw the practice’s policy on protecting people’s general health and monitoring their oral health. People told us they felt well-cared for. We saw a sample of patient records. These showed that the dentist had checked people’s soft tissues and general oral health as well as their teeth. They offered a scale and polish when appropriate.

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People who spoke to us said they had been asked about their general health and medication. One person said, “She always asks me about my health and whether I am on any new medication”. All the records we saw showed that the person’s medical history had been recorded and updated regularly. This was so that the dentist could provide treatment appropriate to the person.

We saw certificates showing that staff had been trained in dealing with medical emergencies. This had included cardiopulmonary resuscitation (CPR) and use of the automated external defibrillator (AED. Staff had received training to enable recognition of epileptic seizures and anaphylaxis. The service had purchased an AED in accordance with guidance from the Resuscitation Council (UK). Staff showed us the medication that was kept for use in a medical emergency. These had been checked regularly to ensure the medications were not past their expiry date and were available for use. This showed the practice was well prepared to deal with medical emergencies.

We saw risk assessments had been recorded showing that safety with respect to electrical hazards, scalding, needle stick injuries and hazardous waste had all been considered and minimised. We asked to see the record of accidents and incidents but there had been none for three years. This showed the practice worked in a safe way. Staff told us they accompanied frail or unsteady people to the front door to avoid any risk of slips or trips.

We saw that systems were in place to enable X-rays to be performed in a safe way. The dentist’s training had been updated as required. A Radiation Protection Advisor to the practice had been appointed as required by the Ionising Radiation (Medical Exposure) Regulations 2000. The dentist agreed to add the contact name and phone number to the ‘local rules’ for safe practice that were displayed in the treatment room, in case advice was needed at any time.